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Tough task taking states together CSR and CMI: promise of another Srinivasan Ramanujan... An enemy’s enemy is a friend Five star activism stalls development activity Delhi Chalo... Silver Years of Madras Musings There was flood of milk. Reason: no milk commissioner! IPL type auction for VCs? No mega rail project for Tamil Nadu Paytm karo... Liberal imports idling indigenous capacities Come elections, come advertisements... Land reclamation from sea appears cheaper! Medical costs hit the roof... Bihar – Nitish Kumar adopts the Lalu model Gay abandon in pricing Cement prices continue to rise… SoA @ 80 Not just in-laws (and outlaws); they’ve renowned academics at the helm! Build close rapport with business leaders The Swadeshi Trump Contrarian cousins CII projects higher growth… When the President was rendered homeless… Measuring roof tops in terms of KW/MW Solar, solar everywhere … Demise of a media baron... 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Things happen by accident and not by design... Shale gas and its shallow future China invests in India …and of a popular trade leader Wise Presidents Wanted: a second airport for Chennai Cutting the nose to spite the face Where is Rajaji? Editor's Says TIAM turns a full cycle Adapt Vajpayee dinner diplomacy Muffled voices for merit… Nuclear power at the nucleus Waning interest in public discussions… S V Raju – a ‘good’ true liberal Delhi is distant… Revving up the manufacturing sector Kudos to NDTV... Polls and promises More Shakthi to Das’ elbow Focus on quality of power - its only around 170-180V Intellectual of rare qualities Shipping woes of Chennai companies Building loyalty through the stomach Scientists urged to take up farmer-oriented research Increasing non co-operation of state leaders A C Muthiah – his munificent bequeaths to science S Ramanathan – a versatile musician, musicologist When Ratan Tata visited SRM TN-leverage strength of BHEL, NLC... Of course, Gujarat is vibrant Modi storms Silicon Valley Convulsions in The Hindu Kulandai was a giant Chennai and Kolkata miss opportunity to grow as Delhi and Mumbai
 
PPP mode for upgrading Corporation Hospitals

It is welcome news: the plan of Chennai Corporation to use the services of private doctors to man its hospitals in the evenings. The initiative is to outsource medical services taking the help of sponsors from the private sector and agencies which are expected to address the shortage of close to a third of doctors in Corporation hospitals and is intended to benefit few lakhs of dwellers in slums and poor habitats.  Until some three decades ago, Corporation hospitals and dispensaries were run efficiently. They took care of the needs of not just the poor, but also patients from middle class. Vaccinations against small pox were done exclusively at these. Most of these maintained good stock of medicines, were hygienic and offered quality treatment.

Remember, the remuneration packages for doctors in those times were not so high!

Apathy and unconcern spread after the 1980s; there was the protection of service, increasing dilution of standards, rapid politicisation in recruitments, transfers… and increase in levels of corruption that have led to the present state of decay. The dispensaries and hospitals are endowed with expensive infrastructure, but lacks in quality of service and management.

I suggest the Corporation to go the whole hog in opting for the private-public participation mode. In this, the considerable expertise and funding through Corporate Social Responsibility objectives could be utilised in upgrading and effectively utilising the infrastructure so readily available. But, the mindset of state control and patronage so ingrained in the political leadership would not permit such a paradigm shift. The AIADMK would be afraid of the instant opposition from DMK’s Karunanidhi, who prides over his communist leanings, other political outfits and also from trade unions.  IE has suggested the PPP route for rapidly and massively transforming the close to 300 schools run by the Corporation of Chennai, sadly, to no effect.  The malaise is deep-rooted and cannot be cured by adhoc, half-hearted measures. An impossible situation needs drastic remedies. Mayor Duraisamy conceives of such changes. I wish he takes it to the logical next step. The PPP mode will be honourable for both the parties and leverage the strengths of both. Chief Minister Jayalalithaa should take bold to depart from a linear conventional thinking and attempt a  big change.  She should attempt a Hanuman jump.

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